Crum, Kathryn Louise

Crum, Kathryn Louise is an individual health care provider with primary practice located at 2745 Rebecca Ln , Orange City FL 32763-8333. She recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as her primary health care specialty. Crum, Kathryn Louise can be contacted via phone (386) 775-2012.

Contact Information

Primary practice address
2745 Rebecca Ln Orange City FL 32763-8333
Fax: (386) 775-2013
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X ME134212 Florida

Profile Details

NPI number 1568761120
LBN Legal business name Crum, Kathryn Louise
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2011
Last updated Feb 21st, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568761120 NPPES
Florida MEDICAID 24303600

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